| NPI | 1962680389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYRITA KAISER MALLET President 817-613-1942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX J4322) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2012-04-27 |